TIFFANY POWERS FORD Nursing Home Administrator License verification

Business Entity

INACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005060

License Status

INACTIVE

Business

First Name

TIFFANY

Last Name

POWERS FORD

Business Name

TIFFANY POWERS FORD

Original Issue Date

03/12/1996

Effective Date

12/04/2003

Expiration Date

11/30/2005

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/11/2005